CPT 28490
Musculoskeletal
Current code48 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $280 – $308 | — | — |
| Cascade Medical Center | $204 – $305 | $292 | $365 |
| Coulee Medical Center | — | $1,316 | $1,463 |
| Deaconess Medical Center | $269 – $296 | — | — |
| EvergreenHealth Medical Center | $263 – $268 | $587 | $734 |
| EvergreenHealth Monroe | $258 – $263 | $587 | $734 |
| Harborview Medical Center | $286 – $314 | $593 – $889 | $847 – $1,270 |
| Highline Medical Center | $267 – $307 | $206 | $674 |
| Island Hospital | $294 – $312 | $171 | $171 |
| Kadlec Regional Medical Center | $275 – $330 | $363 | $519 |
| Legacy Salmon Creek Medical Center | $283 – $308 | $94.90 – $271 | $146 – $417 |
| Mary Bridge Children's Hospital | $282 – $310 | — | — |
| MultiCare Auburn Medical Center | $281 – $309 | — | — |
| MultiCare Covington Medical Center | $281 – $309 | — | — |
| MultiCare Good Samaritan Hospital | $282 – $310 | — | — |
| MultiCare Valley Hospital | $277 – $296 | — | — |
| Olympic Medical Center | $309 – $397 | — | — |
| Overlake Hospital Medical Center & Clinics | $286 – $298 | — | — |
| PeaceHealth Southwest Medical Cente | $274 – $315 | $703 | $1,081 |
| PeaceHealth St John Medical Center | $229 – $323 | $709 | $1,091 |
| PeaceHealth St Joseph Medical Center | $293 – $322 | $701 – $806 | $1,078 – $1,240 |
| PeaceHealth United General Medical Center | — | $701 | $1,078 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $275 – $330 | $436 | $623 |
| Providence Centralia Hospital | $286 – $457 | $478 | $920 |
| Providence Holy Family Hospital | $275 – $302 | $471 | $673 |
| Providence Mount Carmel Hospital | — | $161 – $249 | $230 – $355 |
| Providence Regional Medical Center Everett | $281 – $309 | $615 | $1,182 |
| Providence St Joseph Hospital | — | $134 – $249 | $192 – $355 |
| Providence St Mary Medical Center | $275 – $302 | $273 – $369 | $390 – $527 |
| Providence St Peter Hospital | $284 – $454 | $478 | $920 |
| Skagit Valley Hospital | $240 – $252 | $215 – $811 | $269 – $1,014 |
| St Anthony Hospital | $272 – $313 | $205 | $674 |
| St Clare Hospital | $272 – $313 | $194 | $674 |
| St Elizabeth Hospital | $121 – $148 | $238 | $674 |
| St Francis Community Hospital | $267 – $307 | $212 | $674 |
| St Joseph Medical Center | $259 – $313 | $223 | $674 |
| St Michael Medical Center | $279 – $302 | $298 | $674 |
| Swedish Edmonds Hospital | $281 – $337 | — | — |
| Swedish Issaquah | $286 – $344 | $706 | $1,470 |
| Swedish Medical Center | $286 – $343 | $706 | $1,470 |
| Swedish Medical Center / Cherry Hill | $286 – $343 | $706 | $1,470 |
| Tacoma General Allenmore Hospital | $282 – $310 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $286 – $314 | $450 – $675 | $643 – $964 |
| Virginia Mason Medical Center | $75.89 – $406 | $416 | $816 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $338 – $900 | $338 – $900 |
| Yakima Valley Memorial | $289 – $323 | $290 | $725 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $186 in an office; $153 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $164 in an office; $136 in a hospital or surgery center
- Hospital outpatient payment (national)
- $252 (APC 5111)
- Surgery center payment (national)
- $115
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28490:
- 28490P (with a letter after it, P; 6 price lines)
- 28490T (with a letter after it, T; 3 price lines)